Organization
GOOD SAMARITAN NURSING HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA D COOK RN ADMINISTRATOR (ADMINISTRATOR)
(309) 289-2614
Entity
Organization
Contact information
Practice address
407 N HEBARD STREET, KNOXVILLE, IL 61448
(309) 289-2614
(309) 289-8847
Mailing address
407 N HEBARD STREET, KNOXVILLE, IL 61448
(309) 289-2614
(309) 289-8847
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001107
—
IL
Enumeration date
07/21/2006
Last updated
08/22/2020
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